Case Report

Maltodextrin May Be a Promising Treatment Modality After Near-total Pancreatectomy in Infants Younger Than Six Months with Persistent Hyperinsulinism: A Case Report

10.4274/jcrpe.galenos.2021.2021.0121

  • Yasemin Denkboy Ongen
  • Erdal Eren
  • Halil Saglam

Received Date: 03.05.2021 Accepted Date: 23.08.2021 J Clin Res Pediatr Endocrinol 0;0(0):0-0 [e-Pub] PMID: 34477356

Persistent hypoglycemia in infants with congenital hyperinsulinism (CHI) can be challenging in approximately half of these cases, even after undergoing a near-total pancreatectomy. While maltodextrin has been recommended in the nutritional management of CHI cases younger than six months, facts about its efficacy in managing hypoglycemia are not yet clear. Here, we present a male infant with CHI who experienced persistent hypoglycemia even after undergoing a near-total pancreatectomy and despite multiple medical treatments. The infant’s hypoglycemic episodes were successfully controlled by adding maltodextrin to his diet.

Keywords: congenital hyperinsulinism, ABCC8 gene, maltodextrin, near-total pancreatectomy, continue glucose monitoring systems